TEACHING CHOICE MAKING DURING SOCIAL INTERACTIONS TO STUDENTS WITH PROFOUND MULTIPLE DISABILITIES

We taught 4 students with profound multiple disabilities to use a microswitch communication system to request a change in recreational stimuli during social interactions with nondisabled peers. In Study 1, we conducted a preference assessment across a range of stimuli for each student. The most and least preferred stimuli were incorporated into microswitch communication system training in Study 2. During the second study, 3 of the 4 students (a) learned to use the microswitch communication system to control stimulus presentation, (b) more clearly differentiated their time among stimuli, and (c) increased their level of general alertness. Study 3 extended the use of the microswitch communication system to social interactions with nondisabled peers. Two students were more engaged in interactions when they chose when to change stimuli; 1 student was more alert when a peer chose when to change activities; a 4th student showed an undifferentiated pattern. The outcomes of the investigation are discussed in terms of the effects of controlling stimulus presentation on the behavior of students with profound multiple disabilities and the stability of preference hierarchies over time.     

Increasing Communication Among Nursing Home Residents

In this preliminary, intrasubject study (N = 8), we examined the effects of communication skills training and the use of memory books by Nursing Assistants (NAs) on the social ecology of a nursing home. Through inservice and on-the-job training, NAs were taught to use communication skills and memory books during their interactions with residents with mild to moderate cognitive impairment (Mini Mental Status Examination, M = 16.25), but relatively intact communication abilities. An abbreviated staff motivational system called Behavioral Supervision (Burgio and Burgio, 1990. Int. J. Aging Hum. Deve. 30: 287–302.) was attempted to encourage performance of these skills on the nursing units. Results showed that, regardless of sporadic implementation of the intervention by nursing staff, the intervention improved communication between staff and residents during care routines, increased the amount of time other residents and visitors spent talking with target residents, and increased the rate of positive statements made by the target residents and others in their immediate environment. Results are discussed in terms of limitations of the staff motivational system and modifications made to the system in a larger ongoing intervention trial.     

Ethical Principles and the Communication of Forensic Mental Health Assessments

Our premise is that ethics is the essence of good forensic practice and that mental health professionals must adhere to the ethical principles, standards, and guidelines of their professional bodies when they communicate their findings and opinions. We demonstrate that adhering to ethical principles can improve the quality of forensic reports and communications. We demonstrate this by focusing on the most basic principles that underlie professional ethical standards and guidelines, namely, Fidelity and Responsibility, Integrity, Respecting Rights and Dignity of Persons, and Justice and Fairness. For each principle we offer a brief definition and explain its demands. Then we identify ways in which the principle can guide the organization, content, or style of forensic mental health report writing, offering illustrative examples that demonstrate or abuse the principle.     

住院医师医患沟通的问题及对策

医患沟通是新时代住院医师必须掌握的一门技能,是医学人文精神的体现。然而目前我国住院医师由于专业知识及技术的局限性,对医患沟通的认识存在着偏倚,以及我国医学教育缺乏沟通能力的培养,导致住院医师医患沟通能力缺乏,需要提高改善。本文基于当前医患关系以及住院医师医患沟通能力的现状,探讨为提高医疗服务质量,增进医患之间的相互理解和尊敬,创建和谐医疗关系,积极有效防范医疗纠纷,身为住院医师的我们应做些什么,做到什么。     

领导非工作时间电子通信预期影响下属工作绩效的多路径模型

领导预期下属非工作时间随时保持联系、并且及时回复工作信息已成为当下数字经济时代中的职场新常态。文章基于资源保存理论, 构建领导非工作时间电子通信预期(After-hours electronic communication expectations, AECE)影响下属工作绩效的多路径模型。通过实验研究, 以及多时点、多来源的问卷调查研究, 结果发现：(1)在资源获益路径, 领导AECE会通过增强下属组织自尊, 提升工作绩效; (2)在资源损耗路径, 领导AECE会增加下属的压力感知; (3)在资源威胁路径, 领导AECE会引发下属的名声担忧, 进而降低工作绩效; (4)自我领导调节资源威胁路径, 即当下属自我领导水平较高时, 领导AECE通过名声担忧降低工作绩效的间接效应被削弱。整合的理论框架为解释领导AECE对下属工作绩效的复杂影响提供更全面的解释, 这不仅丰富了AECE相关文献, 拓展了资源保存理论在数字经济管理背景下的应用, 同时也为“随时待命”这一职场新常态提供管理实践启示。     

重视医患沟通产生的功效--从成功诊治一例寄生虫病妄想患者说起

良好医患沟通直接影响到医疗活动的正常进行,有效的医患沟通是构建和谐医患关系必要的途径和手段。而医患沟通技能和医患沟通方法是实现良好医患沟通的基础。本文从诊断、治疗一种罕见的精神性疾病---寄生虫病妄想个案过程中,具体应用医患沟通听、说基本活动的技能,融洽与患者交流,构建良好医患关系,成功治愈这一寄生虫病妄想患者。阐明临床医生不仅仅需要仁爱之心、专业的医学知识,还需重视医患沟通,掌握医患沟通技巧。     

Guess who? Children use prosody to infer intended listeners

This study examined the relative influence of prosody and semantic content in children's inferences about intended listeners. Children (n = 72), who ranged in age from 5 to 10 years, heard greetings with prosody and content that was either infant or adult directed and chose the intended listener from amongst an infant or an adult. While content affected all children's choices, the effect of prosody was stronger (at least, for children aged 7–10 years). For conditions in which prosodic cues were suggestive of one listener, and content cues, another, children aged 7–10 years chose the listener according to prosody. In contrast, the youngest age group (5‐ to 6‐year‐olds) chose listeners at chance levels in these incongruent conditions. While prosodic cues were most influential in determining children's choices, their ratings of how certain they felt about their choices indicated that content nonetheless influenced their thinking about the intended listener. Results are the first to show the unique influence of prosody in children's thinking about appropriate speech styles. Findings add to work showing children's ability to use prosody to make inferences about speakers' communicative intentions.     

大学生的人际归因倾向、网络交往动机与网络人际关系成瘾的关系研究

随着网络的日益普及,网络交往已成为一种新的人际交往方式,但网络人际关系成瘾的问题也日益凸显。本研究旨在探讨大学生的人际归因倾向、网络交往动机与网络人际关系成瘾的关系,使用问卷法对447名大学生的调查结果发现：（1）人际关系的内外归因倾向都和网络交往动机都呈显著正相关,但只有人际关系外归因倾向和网络人际关系成瘾呈显著正相关。（2）网络交往动机在人际关系外归因倾向对网络人际关系成瘾的影响中起部分中介作用。     

关系复杂性对关系类别间接性学习的影响

以216名大学生为被试,使用关系复杂性变化的三种虚拟外星生物实验材料,创设个人功能预测的关系类别的间接性学习条件和参照性交流功能预测的关系类别的间接性学习条件,探讨关系复杂性对关系类别间接性学习的影响。结果发现:关系类别的功能预测间接性学习过程中,关系复杂性和学习条件的交互作用极其显著,具体来讲,关系复杂性对关系类别间接性学习的影响仅显著地表现在参照性交流关系类别间接性学习过程中;当学习材料为4特征复杂关系时,参照条件下被试功能预测成绩极其显著高于个人条件,当学习材料为6特征复杂关系加二阶同功能简单关系时,两种学习条件间不存在显著差异,当学习材料为6特征复杂关系加二阶异功能简单关系时,个人条件极其显著高于参照条件。